Enroll in a Medicare Plan
in Connecticut
Congratulations!
Below are your four ConnectiCare Medicare Advantage plan enrollment options.
- By Phone
Medicare beneficiaries may enroll in a ConnectiCare Medicare Advantage Prescription Drug plan over the phone by calling us toll-free at 877-224-8221 (TTY: 711).
From Oct. 1 to March 31, you can call us from 8 a.m. to 8 p.m., seven days a week. From April 1 to Sept. 30, you can call us from 8 a.m. to 8 p.m., Monday through Friday.
- By Mail
You can download a Medicare Advantage Prescription Drug plan enrollment form below for the plan you want to enroll in, complete it, and send it to us. We will confirm we received your form by mail.
- Make a Face-to-Face Appointment
You can schedule an appointment with a Connecticut-based ConnectiCare licensed representative who will answer your questions and help you complete the enrollment application.
You can also enroll in an ConnectiCare Medicare Advantage plan through the Centers for Medicare & Medicaid Services Online Enrollment Center at Medicare.gov.

To join a ConnectiCare Medicare Advantage Prescription Drug plan, you must:
- Qualify and be enrolled in Medicare Part A (you are 65 or older, or under 65 with certain disabilities); and
- Be enrolled in and continue to pay for Medicare Part B; and
- Live in the state of Connecticut
You can enroll when you first become eligible for Medicare (three months before the month you turn age 65 until three months after the month you turn age 65).
If you delayed your Medicare Part B enrollment, you can still enroll in a Medicare Advantage plan. You will be able to enroll three months before your entitlement month and ends either on the last day of the second month after the Part B enrollment month, or the last day of your Part B initial enrollment period, whichever is later.
If you receive Medicare benefits due to a disability, you can join a Medicare Advantage plan three months before until three months after your 25th month of disability.
Medicare beneficiaries may enroll only during specific times of the year. Visit our Medicare Enrollment Periods page to see the best time to enroll and other details about enrollment timelines. Medicare beneficiaries may enroll only during specific times of the year. Visit our Medicare Enrollment Periods page to see the best time to enroll and other details about enrollment timelines.
What happens next?
Enrollment Forms
Mail your enrollment form to: ConnectiCare Medicare P.O. Box 4001 Farmington, CT 06034-9900
Medicare Advantage Enrollment Application
Medicare Advantage Special Needs Enrollment Application
ADDITIONAL RESOURCES
If not currently enrolled call 877-224-8221 (TTY: 711)
From Oct. 1 to March 31, you can call from 8 a.m. to 8 p.m., seven days a week. From April 1 to Sept. 30, you can call from 8 a.m. to 8 p.m., Monday through Friday.
Medicare members call 800-224-2273 (TTY: 711)
From Oct. 1 to March 31, you can call from 8 a.m. to 8 p.m., seven days a week. From April 1 to Sept. 30, you can call from 8 a.m. to 8 p.m., Monday through Saturday.